Organization
BLANCO NEUROFEEDBACK INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGLA JOSEFINA BLANCO PSY.D. (PRESIDENT)
(305) 785-6610
Entity
Organization
Contact information
Practice address
1416 SANTA CRUZ AVE, CORAL GABLES, FL 33134-2258
(305) 785-6610
Mailing address
1416 SANTA CRUZ AVE, CORAL GABLES, FL 33134-2258
(305) 785-6610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8399
FL
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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